NHS InnovationsSouth East
Map that App!Oxford Academic Health Science Network
29 January 2014
Dr Anthony Hill, Senior Innovation Manager
NHS InnovationsSouth East
NHS InnovationsSouth East
http://venturebeat.com/2008/08/08/defcon-excuse-me-while-i-turn-off-your-pacemaker/
NHS InnovationsSouth East
Who are the “Digital Omnivores”?
• Main device - smartphone or tablet? Smartphone (77%), tablets up from 12% in 2012 to 23% in 2013*
• Use of tablet PCs in healthcare (global) grew 27% in 2012 and is expected to increase to $1.7 billion for 2013‡
Source: *Adobe global 2013 Mobile Consumer Survey, ‡Kalorama Information, **BMC Medical Informatics and Decision Making Journal, ‡‡ EPC Health Media
• 79% medical students, 75% percent of junior doctors own a smartphone**
• US smartphone use by doctors: 81% in 2010 to 91% in 2012. EU doctors: 44% in 2010 to 81% in 2012 in Europe‡‡
NHS InnovationsSouth East
• Users downloaded 44 million mobile health (mHealth) apps downloads in 2012
• 142 million mHealth downloads predicted by 2016.*
• Top mHealth publishers: 3 million free and 300,000 paid downloads in the USA on the iOS platform.
• Wider mobile health market will reach $8 billion by 2018**
Source: *Juniper Research, **Global Data
Proposed AgendaApp Stats!
NHS InnovationsSouth East
Wild West or Gold Rush?
Health App
• 97,000 mHealth applications listed on 62 full catalogue app stores
• Many apps are unvalidated
Patient / consumer safety?Medical Devices?Data privacy issues?Security?
• Uptake and expectations are surging
NHS InnovationsSouth EastHealth apps: where are we ?Health apps: where are we ?
NHS InnovationsSouth East
STAGE 1 – PRE-DEVELOPMENT
STAGE 2 – DESIGN & DEVELOPMENT
STAGE 3 – USER TESTING
STAGE 4 – STAKEHOLDER REVIEW
STAGE 5 – MEDICAL DEVICE PROCESS*
STAGE 6 – EXTERNAL DEPLOYMENT
*Subject to nature of mobile app
NHS InnovationsSouth East
NHS InnovationsSouth East
Internal Development or Outsourced?
Proceed to STAGE 2
Business Justification Case
Go / No Go Decision
No
Identify Suppliers / collaborators? Procurement process?
Stakeholder /TargetAudience Analysis
Am I “reinventing the Wheel”?Competitive Analysis(Validated Apps)
What are your goals? Why develop a mobile app?
Needs Assessment
Value Proposition?Patient /organisational benefit ? Resources? Costs? Risks?Commercialisation strategy?Intellectual Property in app? – copyright in code, database rights, trademark brandingSustainability? Ongoing support and costs?
Go / No Go Decision
No Project stakeholders? User Profiles? Public Patient Involvement needed at this stage? Hardware /platform preference?
NHS InnovationsSouth East
STAGE 2 – DESIGN & DEVELOPMENT
NHS InnovationsSouth East
Early functions /user interface / website framework
Mocked up prototype screens permitting user
interaction feedback
Linking mobile app into existing or new ICT infrastructure. Interoperability?
Wireframe Development
Screenshots
Code Generation
User Training Proceed to STAGE 3
System Integration & testing
API Usage, App Store optimisation?
User & System requirements
Functionality? Data flows? Public Patient Involvement?USE CASES. Commercialisation route? Data & Device Security? Medical Device? (see stage 5)Hardware Specifications?
NHS InnovationsSouth East
May 2012: Audit of Android fragmentationAlmost 4000 android devices involving 600 different brands
Source: http://opensignal.com/reports/fragmentation.php
NHS InnovationsSouth East
Version Codename API Distribution
2.2 Froyo 8 1.30%
2.3.3 - Gingerbread 10 21.20%
2.3.7
3.2Honeycomb 13 0.10%
4.0.3 -Ice Cream Sandwich 15 16.90%
4.0.4
4.1.xJelly Bean
16 35.90%
4.2.x 17 15.40%
4.3 18 7.80%
4.4 KitKat 19 1.40%
Data collected during a 7-day period ending on January 8, 2014.Any versions with less than 0.1% distribution are not shown.
Application Programming Interface (API) fragmentation
Source: Dashboard fromDeveloper.android.com
NHS InnovationsSouth East
STAGE 3 – USER TESTING
NHS InnovationsSouth East
User Testing
Refine Prototype
Back to STAGE 2
Proceed to STAGE 4
DevelopmentComplete? YES
DevelopmentComplete? NO
• Usability? Performance? Hardware? Communications?• Contribution to technical file for CE marking
• USER EXPERIENCE IS KEY!
NHS InnovationsSouth East
NHS InnovationsSouth East
STAGE 4 – STAKEHOLDER REVIEW
NHS InnovationsSouth East
Clinical Safety assessment?Systems review?Security review?Quality check?
Internal DeploymentWithin organisation*
Back to STAGE
Proceed to STAGE 6
Pass Reviews? YES
Pass Reviews?NO
Stakeholder Review / Clinical Validation
*Does not require CE markingat this stage
Medical Device? YES
Proceed to STAGE 5
Medical Device? NO
NHS InnovationsSouth East
STAGE 5 – MEDICAL DEVICE PROCESS
NHS InnovationsSouth East
Medical Devices Directive
Under clause 2(a) of the Medical Devices Directive, a medical device is defined as follows:• Includes any software, whether used alone or in
combination, including that specifically for diagnostic and/or therapeutic purposes and necessary for its proper application, intended by the manufacturer to be used for human beings for the purpose of:
• diagnosis, prevention, monitoring, treatment or alleviation of disease,
• diagnosis, monitoring, treatment, alleviation of or compensation for an injury or handicap,
• investigation, replacement or modification of the anatomy or of a physiological process,
• Control of conception;
NHS InnovationsSouth East
NHS InnovationsSouth East
STAGE 6 – EXTERNAL DEPLOYMENT
NHS InnovationsSouth East
App stores are a means of both selling and deploying mobile apps to targeted users
• More NHS organisations are implementing mobile management solutions (MAM / MDM) to deploy and manage app access, and also mobile hardware.
• NHS England has launched the NHS Health Apps Library, lifestyle apps that had been reviewed to ensure they were clinically safe.
Deployment
NHS InnovationsSouth East
• Free?Worldwide mobile advertising is forecast to reach $24.5B by 2016*
• In-app purchasing or freemium?71% of App store revenue was from in-app purchases in 2013*
• PaidUsers who plan to make app purchases from device*:iPhone 69% Android 53% BlackBerry 35% Windows 32%
Source: *Localytics.com
Commercialisation Approaches• Consumers are increasingly reluctant to pay for
apps, particularly when so many apps are available and appear to be free.
• App sustainability?
• Services or Product business stream
NHS InnovationsSouth East
NHS InnovationsSouth East
What we do
Thanks to Rhiannon Cox, Alan Kennedy and Chris Sawyer and Oxford AHSN
Accelerated Commercialisation of Non-Patent Intellectual Property Associated with Healthcare Apps
Event: 18th March 2014, Academic Centre, Maidstone & Tunbridge Wells NHS Trust
Details to follow at http://innovationssoutheast.nhs.uk
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